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Patient Name: _________________________________ Chart Number: ________________________________ Therapist: _____________________________________ ease: _____________________________ Date of examine: ________________________ iceberg practic adequate Balance cut across 1. school term to rest  ______ 2. understructureing wild  ______ 3. academic session unsupported, feet on outrage  ______ 4. Standing to sitting  ______ 5. Transfers  ______ 6. Standing unsupported with eyes closed in(p)  ______ 7. Standing unsupported with feet to get toher  ______ 8. stint forward with outstretched arm ______ 9. Pick up inclination from floor  ______ 10. writhe to look behind/over leftover and right shoulders  ______ 11. gambol 360 degrees  ______ 12. Alternating steps on behind  ______ 13. Standing unsupported, bingle foot in front (Tandem Stance)  ______ 14. Stand on one leg  ______ TOTAL SCORE                /56       45  or > normally indicates patient less likely to fall, safe ambulator, no helpful gizmo. 37 or > usually indicates safe ambulator with assistive device. 36 or lower uphold to 100% essay of falls in community sprightliness older adults.

Test Administrator: _______________________________ Date: ________________ The Berg Functional Balance Scale cannot replace clinical judgment. Other factors (cognition, orthopedical issues, other medical checkup conditions) must be taken into consideration when using the results of this interrogation to determine ap propriate assistive device. Ultimately, sele! ction of assistive device is the responsibility of the clinician. This test is more or less usageful as a predictor of falls in the elderly, entirely can in addition be used as an objective, qualitative measure of usefulness through clinical intervention. Berg Functional Balance Scale grade: Mark the worst category that applies. (4=best, 0=worst). 1. Sitting to standing  ______ Instruction: disport stand up. Try not to use your hands for support. (4) able to stand, no hands and stabilize...If you want to get a complete essay, order it on our website: OrderCustomPaper.com

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